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Organization
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Active
Organization
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Active
Other names
Providence Elementary Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL THOMPSON (ADMINISTRATIVE SERVICE MANAGER)
(270) 686-7747
Entity
Organization
Contact information
Practice address
470 S BROADWAY ST, PROVIDENCE, KY 42450-1642
(270) 667-7041
(270) 667-5893
Mailing address
470 S BROADWAY ST, PROVIDENCE, KY 42450-1642
(270) 667-7041
(270) 667-5893
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Enumeration date
08/15/2007
Last updated
12/23/2008
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